NHG-Standaard CVA

Verhoeven, S; Beusmans, G H M I; Bentum, STB Van; Binsbergen, JJ Van; Pleumeekers, H.J.C.M.; Schuling, Jan; Wiersma, Tjerk

doi:10.1007/978-90-313-8279-8_23

Cited by 2 publications

(4 citation statements)

References 77 publications

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“…Seven percent of the patients died in the first year post stroke. Other studies report mortality around 30% [4,47]. Mortality in this study is also low when compared to the Bamford et al study.…”

Section: Discussioncontrasting

confidence: 50%

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Perceived wellbeing of patients one year post stroke in general practice - recommendations for quality aftercare

et al. 2011

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BackgroundAnnually, 41,000 people in the Netherlands have strokes. This has multiple physical and psychosocial consequences. Most patients return home after discharge from hospital. Quality aftercare by general practitioners is important to support patients at home. The purpose of this study is to examine the wellbeing of patients who returned home immediately after discharge from hospital, one year post stroke, in comparison with the general Dutch population of the same age and to determine factors that could influence wellbeing.MethodsAll the stroke patients from the Department of Neurology, Martini Hospital Groningen in the period November 2006 to October 2007 were included. People aged under 65 years or with haemorrhaging were excluded. All the patients (N = 57) were interviewed at home using the following questionnaires: Barthel Index, SF-36, HADS, CSI and a questionnaire about their way of life.Results31% of the patients in this study experienced a decrease in functional status after one year. Nevertheless, there was no significant difference between the median Barthel Index value at discharge from hospital and one year post stroke. ADL independence correlated with a better quality of life. The health-related quality of life was high. Stroke patients have almost the same quality of life as the 'average' Dutch elderly population. Where patients can no longer fully participate in society, their perceived quality of life is also lower. In this study there is an indication of a high prevalence of depression and anxiety disorders in stroke patients. This negatively affects the quality of life a year after stroke. Although caregiver strain was low for the partners of stroke patients, a reduced quality of life is correlated to greater burden.ConclusionsThis study provides valuable insight into the wellbeing of patients living at home one year post stroke. Physical functioning and quality of life are comparable to the general population of the same age, but improvements in mental functioning can be envisaged. In addition, more attention should be paid to maintaining the patients' activities. The wellbeing of these stroke patients could be increased further if greater attention is paid to these aspects of life. This seems to be applicable to general practice.

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Section: Discussioncontrasting

confidence: 50%

“…Men and women have similar absolute lifetime stroke risks [3]. 25% of all patients die in the first year after a stroke [4]. Mean age at onset is 70 years in men and 75 years in women [5].…”

Section: Introductionmentioning

confidence: 99%

Perceived wellbeing of patients one year post stroke in general practice - recommendations for quality aftercare

et al. 2011

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“…Mortality differs slightly between the two groups (ATC 9.4%, ORP 16.6%), but is still relatively low. Mortality in other studies is about 30% [5,43,44]. Mortality is probably low because the severity of stroke was also low in terms of NIHSS score on admission to hospital.…”

Section: Discussionmentioning

confidence: 82%

“…The average age of patients having a stroke is seventy years in men and seventy-five in women [4]. Twenty-five percent of all patients die in the first year after stroke [5].…”

Section: Introductionmentioning

confidence: 99%

Daily Functioning and Quality of Life of Patients One Year Post Stroke: A Comparison of Two Different Follow-Up Care Programmes

Weerd

2013

J Neurol Res

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NHG-Standaard CVA

Cited by 2 publications

References 77 publications

Perceived wellbeing of patients one year post stroke in general practice - recommendations for quality aftercare

Perceived wellbeing of patients one year post stroke in general practice - recommendations for quality aftercare

Daily Functioning and Quality of Life of Patients One Year Post Stroke: A Comparison of Two Different Follow-Up Care Programmes

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